102101 MEDIA FACTORY iZ �� INDIANA RETAIL TAX EXEMPT Page 1 of 7
of (Cairrriiel CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102101
c✓ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/1312018 00351085 EVENT SIGNAGE AND PRINTING
MEDIA FACTORY Community Relations
VENDOR 481 GRADLE DRIVE SHIP 1 Civic Square
TO Carmel, IN 46032-
CARMEL, IN 46032-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
30894
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1203 Fund: 101 General Fund
Account: 43-590.03
1 Each EVENT SIGNAGE AND PRINTING $2,500.00 $2,500.00
Sub Total $2,500.00
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Send Invoice To: `',,% g"
Community Relations /
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1 Civic Square \ -
Carmel, IN 46032- , ti Via ,�
PLEASE INVOICE IN DUPLICATE
I DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $2,500.00
SHIPPING INSTRUCTIONS 'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER \
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL /
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �t� i �C/Q l . ��Q- L- x1:4__AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Nancy Heck `
TITLE Director
CONTROL NO. 102101 CLERK-TREASURER